Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Providence County
    4. ›
  4. 02860
    5. ›
  5. Mirror Image, Inc.

Mirror Image, Inc.

Company Details

Name: Mirror Image, Inc.
Jurisdiction: Rhode Island
Entity type: Foreign Corporation
Status: Activ
Date of Organization in Rhode Island: 21 Jul 1999 (26 years ago)
Identification Number: 000107494
ZIP code: 02860
County: Providence County
Place of Formation: MASSACHUSETTS
Principal Address: 190 EXCHANGE STREET, PAWTUCKET, RI, 02860, USA
Purpose: TO ENGAGE IN SCREEN PRINTING AND SALES OF GARMENTS AND OTHER PRODUCTS.
Fictitious names: Doing Good Merch (trading name, 2018-07-30 - )
Monkey (trading name, 2017-02-06 - )
ROSHAMBO (trading name, 2017-02-06 - )
Monkey Fish Printing (trading name, 2017-02-06 - )
Flipside Printing (trading name, 2017-02-06 - )
Friendly Girl Promotions (trading name, 2001-08-28 - )

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIRROR IMAGE INC 401 K PROFIT SHARING PLAN TRUST 2017 042970721 2018-07-31 MIRROR IMAGE INC 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Business code 315990
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE ST, PAWTUCKET, RI, 028602224

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing RICK ROTH
Valid signature Filed with authorized/valid electronic signature
MIRROR IMAGE INC 401 K PROFIT SHARING PLAN TRUST 2016 042970721 2017-05-23 MIRROR IMAGE INC 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Business code 315990
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE ST, PAWTUCKET, RI, 028602224

Signature of
Role Plan administrator
Date 2017-05-23
Name of individual signing RICHARD ROTH
Valid signature Filed with authorized/valid electronic signature
MIRROR IMAGE INC 401 K PROFIT SHARING PLAN TRUST 2015 042970721 2016-05-09 MIRROR IMAGE INC 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Business code 315990
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE ST, PAWTUCKET, RI, 028602224

Signature of
Role Plan administrator
Date 2016-05-09
Name of individual signing RICK ROTH
Valid signature Filed with authorized/valid electronic signature
MIRROR IMAGE INC 401 K PROFIT SHARING PLAN TRUST 2014 042970721 2015-05-14 MIRROR IMAGE INC 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Business code 315990
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE ST, PAWTUCKET, RI, 028602224

Signature of
Role Plan administrator
Date 2015-05-14
Name of individual signing RICHARD ROTH
Valid signature Filed with authorized/valid electronic signature
MIRROR IMAGE INC 401 K PROFIT SHARING PLAN TRUST 2013 042970721 2014-05-09 MIRROR IMAGE INC 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Business code 315990
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE ST, PAWTUCKET, RI, 028602224

Signature of
Role Plan administrator
Date 2014-05-09
Name of individual signing RICHARD ROTH
Valid signature Filed with authorized/valid electronic signature
MIRROR IMAGE INC 401 K PROFIT SHARING PLAN TRUST 2012 042970721 2014-05-09 MIRROR IMAGE INC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Business code 311900
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE ST, PAWTUCKET, RI, 028602224

Signature of
Role Plan administrator
Date 2014-05-09
Name of individual signing MIRROR IMAGE INC
Valid signature Filed with authorized/valid electronic signature
MIRROR IMAGE INC 401 K PROFIT SHARING PLAN TRUST 2011 042970721 2012-07-24 MIRROR IMAGE INC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE ST, PAWTUCKET, RI, 028602224

Plan administrator’s name and address
Administrator’s EIN 042970721
Plan administrator’s name MIRROR IMAGE INC
Plan administrator’s address 190 EXCHANGE ST, PAWTUCKET, RI, 028602224
Administrator’s telephone number 4017245353

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing MIRROR IMAGE INC
Valid signature Filed with authorized/valid electronic signature
MIRROR IMAGE INC 401 K PROFIT SHARING PLAN TRUST 2010 042970721 2011-07-26 MIRROR IMAGE INC 22
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE STREET, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 042970721
Plan administrator’s name MIRROR IMAGE INC
Plan administrator’s address 190 EXCHANGE STREET, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017245353

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing MIRROR IMAGE INC
Valid signature Filed with incorrect/unrecognized electronic signature
MIRROR IMAGE INC 401 K PROFIT SHARING PLAN TRUST 2010 042970721 2011-07-29 MIRROR IMAGE INC 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE STREET, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 042970721
Plan administrator’s name MIRROR IMAGE INC
Plan administrator’s address 190 EXCHANGE STREET, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017245353

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing MIRROR IMAGE INC
Valid signature Filed with authorized/valid electronic signature
MIRROR IMAGE INC 2009 042970721 2010-06-24 MIRROR IMAGE INC 28
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Business code 315900
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE STREET, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 042970721
Plan administrator’s name MIRROR IMAGE INC
Plan administrator’s address 190 EXCHANGE STREET, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017245353

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing MIRROR IMAGE INC
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-06-24
Name of individual signing MIRROR IMAGE INC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/25/20100625082558P040108586258001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Business code 315900
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE STREET, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 042970721
Plan administrator’s name MIRROR IMAGE INC
Plan administrator’s address 190 EXCHANGE STREET, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017245353

Signature of
Role Plan administrator
Date 2010-06-25
Name of individual signing MIRROR IMAGE INC
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 2000-08-27
Business code 315900
Sponsor’s telephone number 4017245353
Plan sponsor’s address 190 EXCHANGE STREET, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 042970721
Plan administrator’s name MIRROR IMAGE INC
Plan administrator’s address 190 EXCHANGE STREET, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017245353

Signature of
Role Plan administrator
Date 2010-05-28
Name of individual signing MIRROR IMAGE INC
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
JAMES H. HANH, ESQ. Agent 40 WESTMINSTER STREET SUITE 1100, PROVIDENCE, RI, 02903, USA

SECRETARY

Name Role Address
RICHARD A. ROTH SECRETARY 190 EXCHANGE STREET PAWTUCKET, RI 02860 USA

PRESIDENT

Name Role Address
RICHARD A ROTH PRESIDENT 190 EXCHANGE STREET PAWTUCKET, RI 02860- USA

TREASURER

Name Role Address
RICHARD A. ROTH TREASURER 190 EXCHANGE STREET PAWTUCKET, RI 02860 USA

DIRECTOR

Name Role Address
RICHARD A. ROTH DIRECTOR 190 EXCHANGE STREET PAWTUCKET, RI 02860 USA

Filings

Number Name File Date
202446598530 Annual Report 2024-02-16
202333736650 Annual Report 2023-04-24
202220848990 Statement of Change of Registered/Resident Agent 2022-07-08
202220847380 Annual Report 2022-07-08
202220052720 Revocation Notice For Failure to File An Annual Report 2022-06-27
202193774430 Annual Report 2021-03-10
202067757150 Annual Report 2020-10-23
202055006460 Revocation Notice For Failure to File An Annual Report 2020-09-16
201985371220 Annual Report 2019-01-29
201873653340 Fictitious Business Name Statement 2018-07-30

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
302673819 0112300 2001-10-03 190 EXCHANGE ST., PAWTUCKET, RI, 02860
Inspection Type Referral
Scope Partial
Safety/Health Safety
Close Conference 2001-10-03
Emphasis L: EISA
Case Closed 2001-11-28

Related Activity
Type Referral
Activity Nr 200097889
Safety Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100147 C01
Issuance Date 2001-10-09
Abatement Due Date 2001-11-14
Current Penalty 375.0
Initial Penalty 750.0
Nr Instances 1
Nr Exposed 10
Related Event Code (REC) Referral
Gravity 03
Citation ID 01002
Citaton Type Serious
Standard Cited 19100212 A01
Issuance Date 2001-10-09
Abatement Due Date 2001-10-12
Current Penalty 300.0
Initial Penalty 600.0
Nr Instances 1
Nr Exposed 2
Related Event Code (REC) Referral
Gravity 02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8725047108 2020-04-15 0165 PPP 190 EXCHANGE ST, PAWTUCKET, RI, 02860-2224
Loan Status Date 2021-03-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 174246
Loan Approval Amount (current) 174246
Undisbursed Amount 0
Franchise Name -
Lender Location ID 33263
Servicing Lender Name Rockland Trust Company
Servicing Lender Address 288 Union St, ROCKLAND, MA, 02370-1803
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PAWTUCKET, PROVIDENCE, RI, 02860-2224
Project Congressional District RI-01
Number of Employees 19
NAICS code 315280
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 33263
Originating Lender Name Rockland Trust Company
Originating Lender Address ROCKLAND, MA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 175712.57
Forgiveness Paid Date 2021-02-25
7184938603 2021-03-23 0165 PPS 190 Exchange St # 0, Pawtucket, RI, 02860-2224
Loan Status Date 2022-04-12
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 178265
Loan Approval Amount (current) 178265
Undisbursed Amount 0
Franchise Name -
Lender Location ID 33263
Servicing Lender Name Rockland Trust Company
Servicing Lender Address 288 Union St, ROCKLAND, MA, 02370-1803
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Pawtucket, PROVIDENCE, RI, 02860-2224
Project Congressional District RI-01
Number of Employees 23
NAICS code 315280
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 33263
Originating Lender Name Rockland Trust Company
Originating Lender Address ROCKLAND, MA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 179973.37
Forgiveness Paid Date 2022-03-07

Related by officers

No related officers

Related by address

190 EXCHANGE STREET, PAWTUCKET, RI, 02860, USA

EXCHANGE PLACE, LLC Pioneer Holdings, LLC Tucker Densley Fine Violins, LLC Pawtucket Film Festival Inc

Date of last update: 10 Apr 2025

Sources: Rhode Island Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated